Complication rates matter as much as final appearance when patients weigh facelift surgery. Dr. Andrew Jacono built his reputation partly on numbers that beat the industry standard, publishing outcomes that reshaped how surgeons think about safety in facial rejuvenation.

His extended deep-plane approach departed from the technique that had defined facelifts since their invention: pulling and tightening skin from above. Dr. Jacono instead works below the superficial musculoaponeurotic system, releasing the ligaments anchoring facial tissue and moving skin, muscle and fat together as a single connected layer.

What the Numbers Show

Initial studies of the method, drawn from 153 patients and published in the Aesthetic Surgery Journal in 2011, recorded a 3.9 percent revision rate. Hematoma occurred in about 1.9 percent of cases, and temporary facial nerve injury appeared in roughly 1.3 percent, well under typical rates for facelift surgery generally.

Subsequent research has reinforced those early findings. Deep-plane techniques, according to later studies, produce a lower incidence of facial nerve injury than superficial facelifts because the dissection plane preserves blood supply and keeps anatomical structures intact rather than disturbing them.

A Method Built on Repetition

Dr. Andrew Jacono performs about 250 deep-plane facelifts each year, a caseload that has let him refine the procedure continuously over two decades. That volume, combined with published data, has made his outcomes a reference point for other surgeons evaluating the technique.

Incision length factors into recovery and safety as well. Cuts measure about a third the length of those in a traditional facelift, positioned behind the ear or along the hairline so scarring stays hidden even when hair is pulled back.

Reduced complication figures, shorter incisions and durable results together explain why the extended deep-plane facelift has moved from a niche alternative to what many now consider the standard against which other facelift techniques get measured, according to accounts of Dr. Andrew Jacono’s published work and the broader research it helped inspire among his peers. Refer to this article for additional information.

See More about Dr. Andrew Jacono on https://www.youtube.com/c/drandrewjacono